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Can't pee after hemorrhoid surgery?

Author

Emily Ross

Published Jan 23, 2026

Difficulty urinating after hemorrhoidectomy is usually due to spasm of the urinary sphincter resulting from pain due to the surgery. Getting the pain under control and relaxing the sphincter usually allows for the urine to pass.

Can hemorrhoid surgery affect urination?

Also, having a procedure called a hemorrhoidectomy to remove hemorrhoids may result in urinary retention (trouble emptying your bladder), likely due to increased fluids given during the procedure and pain experienced post-surgery.

Can hemorrhoids cause difficulty urinating?

Post-procedure, you may experience trouble urinating and the remaining hemorrhoids may become more inflamed. Infection and bleeding are rare, but possible. You should call your doctor if pain worsens, or if you develop a fever, experience excessive bleeding or are unable to urinate or have a bowel movement.

What causes urinary retention after hemorrhoidectomy?

Conclusions: Urinary retention is a common complication after anorectal surgery. It is linked to several risk factors, including increased intravenous fluids and postoperative pain.

How common is urinary retention after hemorrhoidectomy?

Conclusion: The incidence of urinary retention following haemorrhoidectomy was 15.2%. General anaesthesia and SH were independent significant factors associated with a lower incidence of urinary retention.

19 related questions found

What to do if you can't urinate after surgery?

If you cannot urinate immediately after surgery, tell your nurse. Ask her to assess your bladder. If you have more than 100 ml of urine in your bladder when the nurse uses the bladder scanner (ultrasound), she should put a catheter (small tube) into your bladder to drain the urine out.

Does warm water help urinary retention?

Conclusions: Both the lukewarm-water-soaked gauze and the hot pack techniques had significant effects on postoperative urinary retention and significantly reduced the need for urinary catheterization. Using these two simple and cost-effective techniques for managing postoperative urinary retention is recommended.

Is urinary retention common after surgery?

Urinary retention is a common complication that arises after a patient has anesthesia or surgery. The analgesic drugs often disrupt the neural circuitry that controls the nerves and muscles in the urination process.

What are the side effects of hemorrhoid surgery?

Pain, bleeding, and not being able to urinate (urinary retention) are the most common side effects of hemorrhoidectomy.

What is the recovery time after hemorrhoid surgery?

Your Recovery

It is common to have some light bleeding and clear or yellow fluids from your anus. This is most likely when you have a bowel movement. These symptoms may last for 1 to 2 months after surgery. After 1 to 2 weeks, you should be able to do most of your normal activities.

Can bowel surgery cause bladder problems?

Bladder dysfunction following colorectal surgery is most commonly related to extirpative procedures in the region of the autonomic pelvic plexus. The two procedures with the highest incidence of postoperative bladder dysfunction include abdominoperineal resections (approaching 50%) and low anterior resections (15–25%).

What does it mean when you feel like you have to pee but only a little comes out?

If a person has a constant urge to pee but little comes out when they go, they may have an infection or other health condition. If a person frequently needs to pee but little comes out when they try to go, it can be due to a urinary tract infection (UTI), pregnancy, an overactive bladder, or an enlarged prostate.

Can't pee when I need to?

If you can't pass urine even though you feel the need to, and your bladder is full, that is known as urinary retention. It can last for a short time or a long time. It needs to be treated, as it can cause kidney damage or other serious complications.

Can hemorrhoidectomy cause incontinence?

Hemorrhoidectomy is associated with the removal of the anal cushions, and may occasionally lead to anal incontinence[7,11]. Jóhannsson et al[12] concluded from his questionnaire that 29% of the patients reported the incontinence after hemorrhoidectomy.

Can hemorrhoids cause pelvic floor dysfunction?

Many patients with chronic constipation or pain with bowel movement may present with a history of hemorrhoids. A large number of people who are constipated also have pelvic floor muscle dysfunction or pelvic floor dyssynergia.

Does it hurt to poop after hemorrhoid surgery?

MOST PATIENTS DO NOT HAVE THEIR FIRST BOWEL MOVEMENT UNTIL AT LEAST 3 DAYS AFTER SURGERY. THIS IS OFTEN PAINFUL. WHILE UTILIZING NARCOTICS, YOU SHOULD REMAIN ON AN OVER THE COUNTER STOOL SOFTENER SUCH AS COLACE OR DOCUSATE (ONE TABLET TWICE DAILY).

What is the most common complication after hemorrhoidectomy?

Severe constipation is common after anorectal surgery, with rates between 15 and 30%. Hemorrhoidectomy has the highest rates reported. A fear of bowel movements and the associated pain can lead to functional constipation.

How should I sleep after a hemorrhoidectomy?

Getting restful sleep without triggering hemorrhoid pain

In addition to clean cotton underwear and loose-fitting pajamas, we recommend you sleep on your stomach to reduce anal pain and place a pillow under your hips to prevent yourself from rolling over onto your back.

Does drinking water help urinary retention?

In turn, the kidneys will only be able to make highly concentrated urine that irritates the bladder. Therefore, staying hydrated by drinking plenty of water throughout the day is one of the essential pieces of any treatment plan for urinary retention.

Is urinary retention an emergency?

People with acute urinary retention cannot urinate at all, even though they have a full bladder. Acute urinary retention, a potentially life-threatening medical condition, requires immediate emergency treatment. Acute urinary retention can cause great discomfort or pain.

How long does post op urinary retention last?

The rate of prolonged POUR beyond 4 weeks is low, and therefore most retention can be expected to resolve spontaneously within 4-6 weeks. When POUR does not resolve spontaneously, more active management may be required.

Why won't my bladder empty all the way?

When the bladder is full, you urinate and the waste leaves your body. However, if you have urinary retention, your bladder doesn't completely empty when you urinate. This can happen to both men and women and it can be caused by things like blockages, medications or nerve issues.

How can I induce urination?

Nine ways to induce urination

  1. Tapping the area between navel and pubic bone. ...
  2. Bending forward. ...
  3. Placing a hand in warm water. ...
  4. Running water. ...
  5. Drinking while trying to urinate. ...
  6. Trying the Valsalva maneuver. ...
  7. Exercising. ...
  8. Massaging the inner thigh.

How can I treat urinary retention at home?

In 2018 clinical research, researchers are using peppermint oil to treat postpartum urinary retention in women. To encourage urination, place a few drops of peppermint oil into the toilet water. The vapor from the oil will contact the perineum to increase urine flow.

How long does it take to pee after surgery?

[12] One should also take note of how long it has been since a postoperative patient's last void. Most patients should go no more than 6 to 7 hours without passing some urine.